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DR. BALAGAJAN BALASUBRAMANIAM M.D.
NPI 1346696713
Internal Medicine in Buffalo, NY

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
91.27/100
CMS Quality Rating
462 GRIDER STREET, BUFFALO, NY 14215(716) 898-4806 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2019, Oct 31, 2016 (2 updates tracked since 2016).

About Dr. Balagajan Balasubramaniam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BALAGAJAN BALASUBRAMANIAM M.D. (NPI 1346696713) is an individual internal medicine provider in Buffalo, New York, licensed in New York (300439) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Erie County Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346696713
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BALAGAJAN BALASUBRAMANIAMCredential: M.D.
Location Address462 GRIDER STREETBuffalo, NY 14215
Mailing Address462 Grider St.Buffalo, NY 14215 · (716) 898-4806 · Fax (716) 898-3279
Phone(716) 898-4806
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 4, 2016
Last NPPES UpdateSeptember 23, 20192 updates tracked since enumeration
✔ NPI 1346696713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 300439
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
462 GRIDER STREET, Buffalo, NY 14215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Balagajan Balasubramaniam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971840448
PECOS Enrollment IDI20190927001690
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
169 services66 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Improvement Activities40
Cost85.96

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL GRAPES
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET, DK MILLER 3RD FL
BUFFALO, NY 14215
Erie County (716) 898-3627
FARHAAN ABDUL GAFUR MD
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-3000
KRISTA KATHLEEN MIKOLICH
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-3941
ABIGAIL SUSAN BENNETT
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET, DK MILLER BUILDING 3RD FLOOR
BUFFALO, NY 14215
Erie County (716) 898-5199
DR. NICHOLAS ALEXANDER ROBINSON MB BCH BAO
Internal Medicine
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-4226
DR. ANURADHA MENDU M.B.B.S., M.P.H
Internal Medicine (Addiction Medicine)
462 GRIDER STREET, DEPARTMENT OF INTERNAL MEDICINE
BUFFALO, NY 14215
Erie County (716) 898-4226
MS. SHARON DENISA NADARAJAH M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-3000
MS. SAMAR NASIR
Student in an Organized Health Care Education/Training Program
462 GRIDER STREET
BUFFALO, NY 14215
Erie County (716) 898-3152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balagajan Balasubramaniam's NPI number?

The NPI number for Balagajan Balasubramaniam is 1346696713. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Balagajan Balasubramaniam located?

Balagajan Balasubramaniam practices at 462 Grider Street, Buffalo, NY 14215. The listed phone number is (716) 898-4806.

What is Balagajan Balasubramaniam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Balagajan Balasubramaniam enrolled in Medicare?

Yes. Balagajan Balasubramaniam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Balagajan Balasubramaniam affiliated with any hospitals?

According to CMS data, Balagajan Balasubramaniam is affiliated with Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for Balagajan Balasubramaniam was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.